Case sharing of urostomy dermatitis

after a urostomy is a peristomal dermatitis, a procedure designed to allow the patient to pass urine and provide additional urine drainage if needed. However, in some cases, urostomy dermatitis may develop, which causes pain, itching, and skin damage. This article will present a clinical case of periurostomy dermatitis.


Case introduction:

A 70-year-old woman presented with symptoms of periurostomy dermatitis one week after urostomy surgery. Patients report pain, itching, and redness of the skin. The doctor's examination found that the skin around the patient's urostomy was severely inflamed and damaged.

How is peripheral skin dermatitis caused?

The excretion of urostomy is urine, which is highly corrosive to the skin. Once in contact with the skin, it can cause symptoms such as skin itching, tingling, edema, bleeding, and even erosion within a few hours . Retraction, uneven skin, improper stoma care techniques, etc. cause urine to contact with the skin around the stoma for a long time. Therefore, irritant dermatitis is the most common complication after enterostomy .
Approach:

1. If the damaged area shows erythema, after cleaning the skin during care, spray an appropriate amount of Skin Protective Powder around the stoma, and then apply Skin Protective Spray to let the skin form a transparent protective barrier before sticking the stoma bag.

2. If the damaged area shows ulceration and a small amount of exudate, spray the stoma skin care powder locally, then spray the non-alcoholic skin protection agent, and repeat in the order of "powder-membrane-powder-membrane-powder-membrane" 2~3 times to achieve the effect of double protection. A hydrocolloid dressing can also be used to cover the damaged skin and then attached to the ostomy bag.

3. If the damaged area is large and the amount of exudate is large, Alginate Dressing can be used on the inner layer of the injured wound, and Hydrocolloid Dressing Ultra-thin on the outer layer, followed by an ostomy bag.

after urostomy is peristomal dermatitis, which is characterized by itching, tingling, and redness of the skin around the stoma.

How to prevent daily care?

1. Keep it clean and dry. Wash the area around the urostomy daily with warm water and soap and make sure to dry it thoroughly. Use a sterile wipe or cotton ball to gently wipe the area to avoid friction and irritation.

2. Avoid using cleaners that contain chemicals. These substances may irritate the skin, resulting in dermatitis.

4. Avoid scratching or rubbing the area around the urostomy. Use a lubricant, such as petroleum jelly or silicone gel, to reduce friction and irritation.

5. Keep the area around the urostomy dry and breathable. Use a waterproof dressing to keep the area dry and breathable.

6. Avoid using topical medicines that contain alcohol or other chemicals. These medicines may irritate the skin, causing dermatitis.

7. Watch your diet. Some people are allergic to certain foods, which may cause skin irritation.

What should be done if periurostomy dermatitis has occurred?

1. Master the correct cutting skills of the center hole of the chassis, and choose the stoma accessory products correctly.

2. If the skin has wrinkles and there is a gap between the stoma nipple and the chassis, the wrinkled skin should be filled with anti-leakage cream to ensure the tightness of the skin and the chassis; if the gap can be filled with an anti-leakage ring.

3. Discharge the content of the ostomy bag in time, and empty it in time when it reaches 1/3 or 2/3, so as to avoid leakage of the chassis due to excessive traction caused by excessive urine.

4. If the stoma is retracted, it is recommended to use a convex chassis and a leak-proof ring and use a stoma belt to reinforce the chassis, mainly to increase the adhesion between the chassis and the skin and reduce urine leakage.

For more information on Innomed® Skin Protective Spray, refer to the previous articles. If you have customized needs, you are welcome to contact us; we will serve you wholeheartedly. At Longterm Medical, we transform this data by innovating and developing products that make life easier for those who need loving care.

Editor: kiki Jia

Date: April 7, 2023